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Surgical First Assist Jobs (NOW HIRING)

Methodist Hospital

Surgical First Assist

Schertz, TX

The Surgical First Assistant works as a member of the perioperative team under the direction of the surgeon. He/she performs responsibilities of both the Surgical Technologist and the Surgical First ...

Methodist Hospital

Surgical First Assist

Cibolo, TX

The Surgical First Assistant works as a member of the perioperative team under the direction of the surgeon. He/she performs responsibilities of both the Surgical Technologist and the Surgical First ...

HiredFirst

Surgical First Assistant

Glendale, AZ · On-site

$2K/wk

Surgical First Assistant Location: Glendale, AZ Specialty: Surgical First Assistant Assignment Length: 13 weeks with possible extension Hours per Week: 36 Schedule: Days Shift Time: 7:00 AM - 7:30 PM ...

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How much do surgical first assist jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for surgical first assist in the United States is $37.65, according to ZipRecruiter salary data. Most workers in this role earn between $30.05 and $41.83 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Surgical First Assist, and why are they important?

To thrive as a Surgical First Assist, you need extensive knowledge of surgical procedures, anatomy, and sterile techniques, usually backed by a clinical degree and certification such as the CSA or CSFA. Familiarity with surgical instruments, operating room technology, and electronic medical records is essential. Strong attention to detail, excellent communication, and the ability to remain calm under pressure are crucial soft skills. These competencies ensure patient safety, effective teamwork, and optimal surgical outcomes.

What are Surgical First Assists?

Surgical First Assists, also known as surgical first assistants or first surgical assistants, are healthcare professionals who provide direct support to surgeons during surgical procedures. Their responsibilities include helping with patient positioning, maintaining a sterile field, controlling bleeding, suturing incisions, and ensuring the surgical team's efficiency and safety. They work closely with surgeons and other operating room staff to optimize patient outcomes and may be registered nurses, physician assistants, or other trained professionals with specialized surgical training.

What is the difference between Surgical First Assist vs Surgical Technologist?

AspectSurgical First AssistSurgical Technologist
CredentialsCertified Surgical First Assistant (CSFA), RN with additional trainingCertified Surgical Technologist (CST)
Work EnvironmentAssist during surgeries, work closely with surgeons in operating roomsPrepare operating rooms, sterilize equipment, assist during surgeries
Employer & IndustryHospitals, surgical centers, clinicsHospitals, outpatient surgical centers, clinics

While both roles support surgical teams, Surgical First Assistants actively assist during procedures and have advanced certifications, whereas Surgical Technologists primarily prepare the operating room and assist in non-sterile tasks. Understanding these differences helps in choosing the right career path or job fit within surgical settings.

What are some typical challenges a Surgical First Assist might face during procedures, and how can they be addressed?

Surgical First Assists often encounter fast-paced, high-pressure environments where quick decision-making and adaptability are crucial. Challenges may include anticipating the surgeon's needs, maintaining sterility in unpredictable situations, and effectively communicating with the surgical team. To address these, developing strong situational awareness, enhancing technical skills through ongoing training, and fostering open communication with colleagues are essential. Proactively preparing for each case and participating in pre-operative briefings can also help mitigate common challenges.
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Surgical First Assist jobs near you
Infographic showing various Surgical First Assist job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 75% Full Time, 22% Part Time, and 2% Contract. Highlights an 97% Physical, and 3% Remote job distribution, with an average salary of $78,315 per year, or $37.7 per hour.
SURGICAL FIRST ASSIST

SURGICAL FIRST ASSIST

Ephraim McDowell Health

Danville, KY • On-site

Full-time

Posted 28 days ago

Job description

Job Summary:
As a member of the perioperative healthcare team, the surgical first assistant maintains a working relationship with all members of the peri-operative healthcare team. The surgical first assistant provides assistance to the surgeons in the surgical arena. The surgical first assistant supports the surgeon during the surgical procedure by assisting in patient positioning and providing visualization/retraction during surgical procedures. The surgical first assistant also assists with hemostasis and closure of the operative site. The surgical first assistant effectively interacts with other disciplines to coordinate the patient's care while in the surgical environment. The surgical first assistant demonstrates the ability to implement a plan for specific surgical cases and is responsible with the RN for accurate and complete patient records to ensure expeditious retrieval of information. The surgical first assistant is responsible with the RN for creating/maintaining sterile fields as appropriate. The surgical first assistant must demonstrate self-direction and professionalism by identifying areas of needed skill development and participating in educational activities; using the expertise of the unit nursing staff and the supervisory staff in dealing with patient problems; participating in unit meetings; being reliable and accountable on scheduled work days. The surgical first assistant will be accountable for promoting the corporate philosophy of F.I.R.S.T. values by effectively relating with patients, their families, visitors, nursing staff members and members of other disciplines and departments. The surgical first assistant demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit.The surgical first assistant demonstrates the knowledge of the principles of growth and development over the lifespan and in collaboration with the RN display the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's needs relative to his/her age-specific needs. Exhibits the F.I.R.S.T. values (Friendliness, Innovation, Respect, Service, and Trust).
Working Conditions, Hazards and Physical Effort:
Works in a well-lighted, ventilated and air conditioned area. Often exposed to unpleasant odors, sights and sounds. Long periods in a stationary position and moving around the unit are required. May experience exposure to disease, infection, blood and body fluids, physical strain and/or hazardous materials. Must be able to move or position 50 lbs. independently. Will work dayshift during the weekdays with call every five to six (5-6) weeks.
Contacts with Others:
Patients, family members and significant others, physicians and Associates, other healthcare providers, administrative staff and hospital support services.
EQUIPMENT USED/SPECIAL SKILLS REQUIRED:
(See competency check list.)
Demonstrated competence in the clinical setting. Three (3) years scrub tech experience required.

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